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    <div class="apply_flow"></div>
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        <div class="form_hd">免费提交初审</div>


        <div class="kiss_form prebook_info">
            <form action="" method="post" id="apply" novalidate="novalidate">
                <!--<input name="csrfmiddlewaretoken" value="QraFMvDgr1q4wKO5WzVhrN8O8GygVZeM" type="hidden">
                <div class="kiss_fm_area ">
                    <input name="user_id" value="" type="hidden">
                    <input name="order_id" value="" type="hidden">
                    <input name="product_name" value="realname" type="hidden">
                    <input name="icp_forced_ok" value="" type="hidden">

                    <input name="property_channel" value="normal" type="hidden">

                    <input name="property_year" value="1" type="hidden">

                </div>-->
                <div class="kiss_fm_row clearfix ">
                    <label class="mt10">申请验证类型</label>
                    <div class="kiss_fm_area auth_type_logo_img">


                        <a title="安全联盟 官网验证" href="##">
                            <img class="" src="../img/gw/gw_83x30.png" alt="官网验证">
                        </a>
                        <a title="安全联盟 行业验证" href="##">
                            <img class="" src="../img/gw/hy_83x30.png" alt="行业验证">
                        </a>
                        <a title="安全联盟 实名验证" href="##">
                            <img class="s_on" src="../img/gw/sm_83x30.png" alt="实名验证">
                        </a>
                    </div>
                </div>

                <div class="kiss_fm_row clearfix organizer_location">
                    <label class="s_lb" for="site_domain"><b class="mt"></b>所在地</label>
                    <div class="kiss_fm_area ">
                        <select verify="required" tap="请选择主办方所在地" class="fl" id="organizer_province"
                                name="organizer_province">
                            <option value="">---请选择省份---</option>

                            <option value="北京">北京</option>

                            <option value="上海">上海</option>

                            <option value="天津">天津</option>

                            <option value="重庆">重庆</option>

                            <option value="河北">河北</option>

                            <option value="山西">山西</option>

                            <option value="内蒙古">内蒙古</option>

                            <option value="黑龙江">黑龙江</option>

                            <option value="吉林">吉林</option>

                            <option value="辽宁">辽宁</option>

                            <option value="山东">山东</option>

                            <option value="河南">河南</option>

                            <option value="陕西" selected="selected">陕西</option>

                            <option value="甘肃">甘肃</option>

                            <option value="青海">青海</option>

                            <option value="新疆">新疆</option>

                            <option value="宁夏">宁夏</option>

                            <option value="西藏">西藏</option>

                            <option value="四川">四川</option>

                            <option value="云南">云南</option>

                            <option value="贵州">贵州</option>

                            <option value="湖北">湖北</option>

                            <option value="湖南">湖南</option>

                            <option value="广东">广东</option>

                            <option value="广西">广西</option>

                            <option value="福建">福建</option>

                            <option value="江西">江西</option>

                            <option value="江苏">江苏</option>

                            <option value="浙江">浙江</option>

                            <option value="安徽">安徽</option>

                            <option value="海南">海南</option>

                            <option value="香港">香港</option>

                            <option value="澳门">澳门</option>

                            <option value="台湾">台湾</option>

                        </select>
                        <select verify="required" tap="请选择主办方所在地" class="fl" id="organizer_city" name="organizer_city">
                            <option value="">--请选择城市--</option>

                            <option value="西安" selected="selected">西安</option>

                            <option value="宝鸡">宝鸡</option>

                            <option value="咸阳">咸阳</option>

                            <option value="渭南">渭南</option>

                            <option value="铜川">铜川</option>

                            <option value="延安">延安</option>

                            <option value="榆林">榆林</option>

                            <option value="安康">安康</option>

                            <option value="汉中">汉中</option>

                            <option value="商洛">商洛</option>

                            <option value="杨凌示范区">杨凌示范区</option>

                        </select>
                        <i class="e_tip error_st"></i>
                        <div class="kiss_fm_etip e_tip"></div>
                    </div>
                </div>


                <div class="kiss_fm_row clearfix organizer_location">
                    <label class="s_lb" for="site_type"><b class="mt"></b>网站分类</label>
                    <div class="kiss_fm_area ">
                        <select verify="required" tap="请选择网站分类" class="fl" id="site_type_first" name="site_type_first">
                            <option value="" selected="selected">---选择一级分类---</option>

                            <option value="音乐影视">音乐影视</option>

                            <option value="休闲娱乐">休闲娱乐</option>

                            <option value="游戏">游戏</option>

                            <option value="网络服务应用">网络服务应用</option>

                            <option value="博客">博客</option>

                            <option value="计算机软件硬件">计算机软件硬件</option>

                            <option value="数码及手机">数码及手机</option>

                            <option value="教学及考试">教学及考试</option>

                            <option value="医疗保健">医疗保健</option>

                            <option value="女性时尚">女性时尚</option>

                            <option value="社交网络和在线社区">社交网络和在线社区</option>

                            <option value="生活服务">生活服务</option>

                            <option value="房产家居">房产家居</option>

                            <option value="汽车">汽车</option>

                            <option value="交通旅游">交通旅游</option>

                            <option value="体育运动">体育运动</option>

                            <option value="投资金融">投资金融</option>

                            <option value="垂直行业">垂直行业</option>

                            <option value="新闻媒体">新闻媒体</option>

                            <option value="人文艺术">人文艺术</option>

                            <option value="小说">小说</option>

                            <option value="人才招聘">人才招聘</option>

                            <option value="网络购物">网络购物</option>

                            <option value="网站导航">网站导航</option>

                            <option value="登录页面">登录页面</option>

                            <option value="其他">其他</option>

                        </select>
                        <select verify="required" tap="请选择网站分类" class="fl" id="site_type_second"
                                name="site_type_second">
                            <option value="" selected="selected">-选择二级分类-</option>
                            <option value="登录页面">登录页面</option>
                        </select>
                        <i class="e_tip error_st"></i>
                        <div class="kiss_fm_etip e_tip"></div>
                    </div>
                </div>


                <div class="kiss_fm_row clearfix ">
                    <label class="s_lb" for="verify_url"><b class="mt"></b>申请验证网站地址</label>
                    <div class="kiss_fm_area ">
                        <input verify="required|www" tap="请填写网站地址" id="id_verify_url" name="verify_url" class="valid"
                               value="" autocomplete="off" spellcheck="false" type="text">
                        <i class="e_tip error_st"></i>
                        <div class="kiss_fm_etip e_tip"></div>
                    </div>
                </div>

                <div class="kiss_fm_row clearfix">
                    <label class="s_lb"><b class="mt"></b>申请验证年限</label>
                    <div class="kiss_fm_area prebook_years">

                        <select class="fl" id="verify_year" name="verify_year">

                            <option value="1" selected="selected">1年(赠1年)</option>


                            <option value="2">2年(赠2年)</option>


                            <option value="3">3年(赠3年)</option>


                            <option value="5">5年(赠5年)</option>


                        </select>

                    </div>
                </div>


                <div class="kiss_fm_row clearfix">


                    <label class=" " for="id_applicant_name"><b class="mt"></b>联系人姓名</label>


                    <div class="kiss_fm_area ">
                        <input verify="required" tap="请填写联系人姓名" autocomplete="off" class="" id="id_applicant_name"
                               maxlength="50" name="applicant_name" spellcheck="false" value="" type="text">
                        <i class="e_tip error_st"></i>
                        <div class="kiss_fm_etip e_tip"></div>
                    </div>

                </div>


                <div class="kiss_fm_row clearfix">
                    <label class=" " for="id_applicant_email"><b class="mt"></b>联系人邮箱</label>
                    <div class="kiss_fm_area ">
                        <input verify="required|email" tap="请填写联系人邮箱" autocomplete="off" class=""
                               id="id_applicant_email" maxlength="32" name="applicant_email" spellcheck="false" value=""
                               type="text">
                        <i class="e_tip error_st"></i>
                        <div class="kiss_fm_etip e_tip"></div>
                    </div>
                </div>
                <div class="kiss_fm_row clearfix">
                    <label class=" " for="id_applicant_mobile"><b class="mt"></b>联系人手机号</label>
                    <div class="kiss_fm_area ">
                        <input verify="required|phone" tap="请填写联系人手机号" autocomplete="off" class=""
                               id="id_applicant_mobile" maxlength="20" name="applicant_mobile" spellcheck="false"
                               value="" type="text">
                        <i class="e_tip error_st"></i>
                        <div class="kiss_fm_etip e_tip"></div>
                    </div>

                </div>
                <div class="field-tip">将通过联系人手机反馈验证结果。</div>
                <div class="fm_group"></div>
                <div class="fm_summ">
                    <!--<div class="file_upload_summ mb10">
                        <div class="kiss_fm_row">
                            <input id="id_license" checked="checked" name="license" type="checkbox">
                            我同意
                        </div>
                    </div>-->
                    <p>初审确认网站能够通过验证后，再支付费用</p>
                    <div class="kiss_fm_sb clearfix mt10">
                        <a class="kiss_btn kiss_sbtn_red part-btn" href="javascript:;" id="apply_btn">马上免费提交初审</a>
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